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Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization Management Nurse 2..
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... and verbal communication Work at Home Requirements Must have the ability ... or cable modem for a home office (Satellite and Wireless Internet ... of experience auditing medical records..
... The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, ... The Care Manager, Telephonic Behavioral Health 2 work assignments are varied ... a Care Manager, Telephonic Behavioral..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... determinations. The Utilization Management Behavioral Health Professional 2 work assignments are ... Responsibilities..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... Responsibilities The Care Manager, Telephonic Nurse..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... determinations. The Utilization Management Behavioral Health Professional 2 work assignments are ... action...
... teams of nurses and behavior health professionals responsible for care management. ... Required Qualifications Associate's Degree Active Registered Nurse (RN) license or Social Work ... can be used as..
... contracted working relationship with the health plan. The Senior Provider Engagement, ... Professional represents the scope of health plan/provider relationship across such areas ... quality and clinical management, population..
Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization ... as needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are ... action. Responsibilities Location: work at home,..
Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization ... as needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are ... action. Responsibilities Location: Work at home anywhere..
... the team with a Senior Nurse Auditor roles! This is a ... should strongly consider the Senior Nurse Auditor opportunity with Humana. Performs ... success! - Required Qualifications Licensed..
... Excel, OneNote, PowerPoint) Work at Home Requirements Must have the ability ... or cable modem for a home office (Satellite and Wireless Internet ... - Preferred Qualifications Master's Degree..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product Strategy team. The Senior Clinical Business Professional work assignments involve moderately complex to complex issues where the ..
... Psychology, Gerontology or related field Registered Nurse (RN) licensed in the state ... of relevant experience Licensed Practical Nurse (LPN), licensed in the state ... or cable modem for..
... for this role is a registered nurse with prior auditing experience, proven ... Required Qualifications Bachelor's Degree in health or business related field or ... lieu of a degree..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... shift to a work at home position..
... Defense to administer the TRICARE health program for military members, retirees ... has strived to create better health outcomes and simplified experiences for ... assist beneficiaries as they transition..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... Monday, Tuesday The Utilization Management Nurse 2..